A list of the most recent deficiencies for Brookdale Lakeway Snf. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2022-06-07 | 2022-06-27 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-04-29 | 2022-06-03 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-29 | 2022-06-03 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-04-29 | 2022-06-03 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-29 | 2022-06-03 | N |
Provide and implement an infection prevention and control program. | Health | 2021-03-31 | 2021-05-21 | Y |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-12-03 | 2020-01-23 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-12-03 | 2020-01-23 | N |
Provide and implement an infection prevention and control program. | Health | 2019-12-05 | 2019-12-19 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-12-05 | 2019-12-06 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-12-05 | 2019-12-06 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-12-19 | 2019-01-18 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-19 | 2019-01-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-19 | 2019-01-18 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-20 | 2019-01-18 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-12-20 | 2019-01-18 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-12-19 | 2019-01-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-19 | 2019-01-15 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-20 | 2018-12-31 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-12-19 | 2018-12-26 | N |